A Case of an Undifferentiated Embryonal Sarcoma of the Liver Mimicking a Liver Abscess
Journal Title: Sultan Qaboos University Medical Journal - Year 2014, Vol 14, Issue 4
Abstract
An undifferentiated embryonal sarcoma of the liver is a rare malignant tumour. We highlight the diagnostic dilemma and differential diagnosis of a case involving a large cystic liver lesion in a young adult. A 20-year-old man presented with a large liver lesion to the Universiti Kebangsaan Malaysia Medical Center, Kuala Lumpur, Malaysia, in February 2012. Te initial clinico-radiological presentations were suggestive of a liver abscess. A total tumour resection was performed and the fnal histopathological results of the resected specimen indicated an undifferentiated embryonal sarcoma of the liver. Te ultrasound and computed tomographic images of the tumour were reviewed and found to be contradictory in appearance, as the tumour seemed predominantly solid in the ultrasound image and predominantly cystic in the computed tomographic image. Familiarisation with the imaging appearance of this tumour and a high index of suspicion is therefore crucial in making a successful diagnosis.
Authors and Affiliations
Mohammad Hanafah| Medical Imaging Unit, Universiti Teknologi MARA, Selangor, Malaysia, Azyani Yahya| Departments of Pathology, Universiti Kebangsaan Malaysia Medical Center, Kuala Lumpur, Malaysia, Zamri Zuhdi| Departments of Surgery, Universiti Kebangsaan Malaysia Medical Center, Kuala Lumpur, Malaysia, Yazmin Yaacob| Departments of Radiology, Universiti Kebangsaan Malaysia Medical Center, Kuala Lumpur, Malaysia
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